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2015 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 1 – 4, 2015 at the Hilton Suites Chicago/Magnificent Mile, Chicago, Illinois, for our 15th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 15th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Suites Chicago in the heart of incredible Chicago.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!

Register now for the 2015 FCCS — Fundamental Critical Care Support
Management principles for the first 24 hours of critical care. Two-day course — 16 hours of CME and Certificate of Completion and card.
    Course Purpose
  • To better prepare the nonintensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged.
  • To assist the nonintensivist in dealing with sudden deterioration of the critically ill patient.
  • To prepare house staff for ICU coverage.
  • To prepare critical care practitioners to deal with acute deterioration in the critically ill patient.
Course will be held before the 15th Annual AASPA CME Meeting at the Hilton Suites Chicago/Magnificent Mile.

Register today!


A blind spot in hospital safety: Surgeon credentialing for new procedures and technologies
Infection Control Today
For all the attention hospitals have paid to patient safety in the last decade, a big blind spot is making them — and their patients — vulnerable to harm, according to a new Viewpoint piece in JAMA by members of the University of Michigan Institute for Healthcare Policy and Innovation. Specifically, the lack of robust processes for credentialing and privileging surgeons on new technologies and procedures poses a major issue that hospitals and professional societies should address, say U-M medical student Jason Pradarelli and U-M Medical School faculty members Justin Dimick, M.D., MPH, and Darrell Campbell, Jr., M.D., in the new piece.
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Incidental MRI findings in children on the rise
Medscape (free login required)
With increasing use of ever more sophisticated brain and spinal cord diagnostic technology, more children are being referred to pediatric neurosurgeons for unexpected findings on MRI. Incidental findings of such lesions as pineal cysts and brain tumors cause additional stress not only for patients and their families but often also for primary care doctors, said lead author Cormac Maher, M.D., pediatric neurosurgeon, University of Michigan, Ann Arbor.
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Ultrasound effectively guides surgeons during medical thoracoscopy
The use of ultrasonography helped experienced surgeons identify intrathoracic adhesions and guided medical thoracoscopy access even when pleural effusion was absent, according to study results. “Lesions of the pleura in absence of pleural effusion are usually studied with video-assisted thoracoscopic surgery (VATS) in the operating room, under general anesthesia and one-lung ventilation,” Giampietro Marchetti, M.D., of Spedali Civili di Brescia in Italy, and colleagues wrote.
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No significant differences in appearance observed between round vs. anatomical implants
Results of a blind study demonstrated there were no significant differences in the general and specific cosmetic appearance between round and anatomical implants, according to researchers. Twenty-two plastic surgeons with breast augmentation experience reviewed pre- and postoperative photographs of 60 patients who underwent breast augmentation with either round (33 patients) or anatomical implants (27 patients). The surgeons rated the photographs based on a modified Likert scale, with 1 for “poor” and 4 for “excellent,” in terms of overall aesthetic result, upper-pole contour and natural appearance.
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Common drug is re-engineered to improve surgery outcomes
Medical Xpress
A Northwestern University research team potentially has found a safer way to keep blood vessels healthy during and after surgery. During open-heart procedures, physicians administer large doses of a blood-thinning drug called heparin to prevent clot formation. When given too much heparin, patients can develop complications from excessive bleeding. A common antidote is the compound protamine sulfate, which binds to heparin to reverse its effects.
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The roller-coaster supply of burn and trauma care
Hospitals & Health Networks
In 1957, R Adams Cowley, M.D. (his first name really was just R, without a period), a noted Maryland cardiac surgeon, coined the idea of "the golden hour" — the 60 minutes after a severe traumatic injury during which the patient should receive appropriate care. If the patient does not receive such care during that first hour, the theory goes, his or her chances of survival drop significantly. Although the concept was controversial at first — with some critics saying it had no basis in science — over the years, it has been generally accepted.
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Integrating care at every point along a patient's surgical journey
Health Affairs Blog
In the United States, the full continuum of care before, during, and after surgery is expensive, fragmented, and associated with a high number of complications. We believe the current segmented care model must become an integrated care model based on excellent coordination throughout the entire perioperative system, from the minute the surgeon and the patient decide a procedure is needed until the patient is discharged and transferred to his or her primary care provider or medical home.
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Too many DCIS patients undergo axillary evaluation
MedPage Today
Almost one-fifth of women undergoing breast conserving surgery (BCS) for ductal carcinoma in situ (DCIS) still undergo some form of axillary lymph node evaluation despite recommendations by several large organizations against this practice, a cross-sectional analysis of U.S. hospitals indicates. Of 35,591 women with DCIS in the Perspective database who underwent either BCS or mastectomy, 70.8 percent had no evaluation of the axillary lymph nodes and 29.2 percent had some form of nodal evaluation.
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Lymph node dissection rates high for some women with DCIS
Medscape (free login required)
There has been an increase in the incidence of ductal carcinoma in situ (DCIS) on screening mammography. However, some women undergoing mastectomy or breast conservation surgery (BCS) following a DCIS diagnosis also undergo axillary lymph node evaluation — against National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) guidelines.
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Missed last week's issue? See which articles your colleagues read most.

    Are human head transplants coming soon? (CNN)
How stone-age blades are still cutting it in modern surgery (CNN)
The choice between heart bypass surgery and angioplasty (U.S. News & World Report)
Study suggests surgeons do get better with experience (Reuters)
FDA clears iPad app for hip replacement planning (HealthData Management)

Don't be left behind. Click here to see what else you missed.


AASPA Newsline
Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 469.420.2661   
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